PURPOSE: The purpose of this study was to examine the effects of a neonatal nursing practice program for nursing students on students' stress, self-efficacy, and confidence. METHODS: A 1-group pre- and post- study design was used. The participants consisted of 64 nursing students who were in a pediatric nursing clinical practicum at a nursing college in Seoul from September 2015 to May 2016. The program consisted of 3 stages-orientation, practice, and debriefing-and was conducted for 3 hours during a 2-week period of the pediatric nursing clinical practicum. The dependent variables were neonatal nursing practice stress, self-efficacy, and confidence. Data were analyzed using the paired t-test, the Pearson correlation coefficient, the x² test, and descriptive statistics with SPSS for Windows version 22.0. RESULTS: The neonatal nursing practice program was effective at decreasing clinical practice-related stress and increasing confidence and self-efficacy regarding neonatal nursing practice. CONCLUSION: The neonatal nursing practice program may effectively promote the integration of theoretical knowledge and practice. In the future, we propose to develop various educational programs that reinforce basic nursing skills for neonates as part of an effective pediatric nursing clinical practicum.
Clinical Competence ; Humans ; Infant, Newborn ; Neonatal Nursing* ; Nursing ; Nursing, Practical ; Pediatric Nursing ; Preceptorship ; Self Efficacy ; Seoul ; Stress, Psychological ; Students, Nursing

PURPOSE: This study was done to develop and evaluate an algorithm-based simulation scenario for emergency measures for high-risk newborns presenting with apnea. METHODS: A one shot case study design was used to evaluate the algorithm-based simulation scenario. Effects of the developed simulation scenario were evaluated using the Simulation Effectiveness Tool (SET) and the Lasater Clinical Judgement Rubric (LCJR). From March to November 137 senior nursing students completed the simulation using this scenario. RESULTS: The eight-frame simulation scenario was developed based on the Neonatal Resuscitation Program (NRP) and the nursing clinical judgment process. After use of the scenario, overall scores for SET and LCJR were 21.0 out of 26.0 and 32.4 out of 44.0 respectively. There were no significant differences in scores according to general characteristics. Positive correlation coefficients were identified among overall and subcategories of SET and LCJR. In addition, students provided positive feedback on the simulation experience. CONCLUSION: Considering that nursing students have limited access to high-risk newborns during their clinical experience and that newborns presenting apnea are common in the neonatal intensive care unit, the simulation scenario developed in this study is expected to provide nursing students with more opportunities to practice emergency measures for high-risk newborns.
Apnea* ; Education, Nursing ; Emergencies* ; Humans ; Infant, Newborn* ; Intensive Care, Neonatal ; Judgment ; Nursing ; Pediatric Nursing ; Resuscitation ; Students, Nursing

PURPOSE: This study was done to develop and evaluate an algorithm-based simulation scenario for emergency measures for high-risk newborns presenting with apnea. METHODS: A one shot case study design was used to evaluate the algorithm-based simulation scenario. Effects of the developed simulation scenario were evaluated using the Simulation Effectiveness Tool (SET) and the Lasater Clinical Judgement Rubric (LCJR). From March to November 137 senior nursing students completed the simulation using this scenario. RESULTS: The eight-frame simulation scenario was developed based on the Neonatal Resuscitation Program (NRP) and the nursing clinical judgment process. After use of the scenario, overall scores for SET and LCJR were 21.0 out of 26.0 and 32.4 out of 44.0 respectively. There were no significant differences in scores according to general characteristics. Positive correlation coefficients were identified among overall and subcategories of SET and LCJR. In addition, students provided positive feedback on the simulation experience. CONCLUSION: Considering that nursing students have limited access to high-risk newborns during their clinical experience and that newborns presenting apnea are common in the neonatal intensive care unit, the simulation scenario developed in this study is expected to provide nursing students with more opportunities to practice emergency measures for high-risk newborns.
Apnea* ; Education, Nursing ; Emergencies* ; Humans ; Infant, Newborn* ; Intensive Care, Neonatal ; Judgment ; Nursing ; Pediatric Nursing ; Resuscitation ; Students, Nursing

PURPOSE: The traditional nursing roles have become increasingly blurred. Nurses are now working in different ways and at higher levels of practice that enable nurses to adapt their roles and take on new responsibilities. The advanced role of nurses requires a different kind of master-level prepared education. METHOD AND RESULT: This article describes an curriculum development process in preparing registered nurses for their advanced nurese' roles in the area of acute adult health nursing, geriatric nursing, pediatric nursing, neonatal intensive care nursing and oncology nursing. Several important issues to be solved regarding introduction of APN were also discussed. CONCLUSION: The curriculum that was proposed in the study will equip nurses to meet the challenges of future healthcare provision and will be a model to other areas of nursing practice and curriculum development.
Adult ; Atrial Natriuretic Factor ; Critical Care Nursing ; Curriculum* ; Delivery of Health Care ; Education ; Geriatric Nursing ; Humans ; Infant, Newborn ; Neonatal Nursing ; Nurse Practitioners* ; Nursing ; Oncology Nursing ; Pediatric Nursing

This study was conducted to analyse the current clinical education of pediatric nursing in baccalaurate nursing program, then to give basic data for enhancing the quality of future clinical education of pediatric nursing. Data were collected through self-reported questionnaire by mail from December 2001 to February 2002. The subjects were 29 schools of 50 baccalaurate nursing education programs. The data were analysed by double raters, researcher and assistant researcher. The results were summarized as follows: 1. Twenty-eight schools had the objectives of the clinical education of pediatric nursing, and 28 schools in pediatric ward, 23 schools in nursery, 22 schools in neonatal intensive care unit(NICU), 15 schools in objectives related to profession by clinical site. 2. Credits on clinical education of pediatric nursing were most 15 schools of 3 credits. 3. The clinical sites were mainly the hospital that sick children were admitted in. 4. The clinical teacher were 9 types including pediatric professor and field nurse. 5. On teacher's role, the professor instructed the case study and conference, and field nurse instructed the patient assignment and nursing procedures. 6.All of schools used explanation and conference as a method of clinical education, 1 or 2 schools used PBL or role play or field study. 7. On clinical education content, most of school included Apgar scoring system, physical examination in newborn assessment, respiration maintenance, temperature maintenance, infection prevention, nutrition, and bath in newborn care. 8. On clinical education content, most of school included care of incubator, phototheraty, infusion, gavage feeding and how to use the instruments in NICU. Eighteen schools included attachment promotion, and 20 schools case study. 9. On clinical education content, most of school included a checklist of nursing procedures, case study, assessment of growth and development in pediatric ward and other sites. 10.There were various evaluation types in scores, measuring items. In conclusion, the results of this study revealed that there were some discrepancy in the objectives and contents, clinical sites on hospital focused, teacher's role, and diversity of measurement items and ratings in clinical education of pediatric nursing. There is a need for a standardization of content, clinical site, and evaluation tool to improve a quality of clinical education of pediatric nursing based on this study.
Baths ; Checklist ; Child ; Education* ; Education, Nursing ; Growth and Development ; Humans ; Incubators ; Infant, Newborn ; Intensive Care, Neonatal ; Nurseries ; Nursing ; Pediatric Nursing* ; Physical Examination ; Postal Service ; Respiration ; Child Health ; Surveys and Questionnaires

PURPOSE: The purpose of this study was to identify the effects size of simulation education targeting korean nurses and nursing students. METHODS: Meta-analysis was conducted with 48 papers in domestic master and doctorate degree dissertations and academic journals from 2000 to 2014. RESULTS: The entire effect size in simulation education was relevant to big effect size. Regarding the effect size of individual variables, nurse was identified to have biggest effect size in study subject, standardized patient was identified to have biggest effect size in simulation methods and pediatric nursing was identified to have biggest effect size in study subjects. Effect size in each effect variable was highest in psychomotor domain. CONCLUSION: This study identified the effect size of simulation education and provided the basic data to contribute to the quality improvement of simulation education which is based on the reasons.
Education* ; Humans ; Nursing* ; Pediatric Nursing ; Quality Improvement ; Students, Nursing*

PURPOSE: This study was done to identify the effectiveness of the 'intervention - mother's recorded song' on low-birth weight infants in an neonatal intensive care unit (NICU). METHODS: This study was conducted with a nonequivalent control group pre-posttest quasi-experimental design and the participant group was low-birth weight infants who were admitted to the NICU. Forty-eight infants, 24 in each from two groups, the experimental and control group, participated in the study. RESULTS: For physical response according to vital signs, there were no significant statistical differences in heart rate, respiration rate and pulse oximetry saturation between the experimental group and the control group. For behavioral state, there was a significant statistical difference between the experimental and control group. CONCLUSION: The study results indicate that the intervention using mother's song had some significance as a nursing intervention with positive impacts. Such an intervention can help pediatric nurses improve infants' stabilization of their vital signs and behavioral states. By showing the effectiveness of such an intervention, the results of this study provide further evidence-based information in developing the practice of pediatric nursing.
Heart Rate ; Humans ; Infant ; Infant, Newborn ; Intensive Care, Neonatal ; Clinical Trial ; Mothers ; Oximetry ; Pediatric Nursing ; Respiratory Rate ; Singing ; Vital Signs

PURPOSE: This study was performed to develop the Fever Education Program (FEP) and evaluate its effects on the knowledge, attitudes, and nursing practice of pediatric nurses. METHODS: The quasi-experimental research strategy used a pretest-posttest nonequivalent control group design. Recruited participants were forty-seven nurses at two pediatric hospitals in G city. The research was conducted from September 1 to October 10, 2015. To test the effects of the FEP, the participants were divided into two groups, an experimental group (n=27) and a control group (n=20). Data were collected prior to and six weeks after the intervention using self-reported questionnaires. Data were analyzed using Fisher's exact test, the χ²-test, t–test, Mann-Whitney U test, and analysis of covariance (ANCOVA) with the SPSS/WIN 19.0 program. RESULTS: Following the FEP intervention, no significant differences were found in nursing practice, but significant differences were found in knowledge (t=3.62, p=0.001) and attitudes (t=4.26, p=0.000) between the experimental group and the control group. CONCLUSION: The results of this study indicate that the FEP could provide an effective nursing intervention to improve knowledge and attitudes toward fever care in pediatric nurses.
Education* ; Fever* ; Hospitals, Pediatric ; Nursing* ; Polytetrafluoroethylene

PURPOSE: This study was conducted to examine the effects of simulation education integrated with problem based learning (SIM-PBL) on clinical competency and self-efficacy in post operation nursing care for children. METHODS: This study was a quasi-experimental design. Thirty six students in the third year of a 4-year baccalaureate nursing program were recruited conveniently and assigned to the control or intervention groups using time difference. Students were all in a pediatric nursing clinical practicum. The control group received the regular clinical practicum in a hospital setting. For the intervention group, a SIM-PBL education replaced 150 minutes of their clinical practicum. RESULTS: The intervention group showed greater improvement in two areas of clinical competency compared with the control group; physical assessment (t=3.019, p=.005) and post operation advice (t=2.428, p=.021). However, no statistically significant differences in improvement in any areas of self-efficacy were found between two groups. CONCLUSION: The results indicate that the SIM-PBL education is effective in improving some areas of clinical competence, but not self-efficacy in post operation nursing care for children. Further study is needed to develop SIM-PBL programs for various clinical topics and evaluate the effectiveness on the learning outcomes.
Child ; Clinical Competence ; Education ; Humans ; Learning ; Nursing ; Nursing Care ; Pediatric Nursing ; Problem-Based Learning* ; Students, Nursing*

The purpose of the present study is 1) to explain major effect models (main, moderating, and mediating) of social support and statistical methods for testing the effect models and 2) to analyze and evaluate the consistency in the use of the effect models and its statistical methods in Korean nursing studies. A total of 57 studies were selected from Journal of Korean Academy of Nursing, Journal of Korean Academic Society of Adult Nursing, Journal of Korean Women's Health Nursing Academic Society, Journal of Fundamentals of Nursing, Journal of Korean Community Nursing, Journal of Korean Psychiatric and Mental Health Nursing Academic Society, and Journal of Korean Pediatric Nursing Academic Society published in the year of 1990-1999. In results, most studies on social support performed in Korea Nursing Society were about a main effect model. There are few studies on moderating or mediating model of social support. Thus, it was difficult to find research findings how, why, under what conditions social support impacted on health outcomes. Most studies on the moderating or mediating effect model of social support used statistical methods for testing main effect model rather than for testing moderating or mediating effect model. That is, there are inconsistency between effect models of social support and its statistical methods in Korean nursing researches. Therefore, it is recommended to perform studies on moderating or mediating effect model and use appropriate statistical methods.
Adult ; Humans ; Korea ; Mental Health ; Negotiating ; Nursing Research* ; Nursing* ; Pediatric Nursing ; Societies, Nursing ; Women's Health